OrganizationActive
Blake Dialysis LLC
NPI 1497033229 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Cedarburg, WI
Provider details
- NPI number
- 1497033229
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Samuel Wey, Vp Licensure & Certification
Practice location
N54 W6135 Mill St
Ste 500
Cedarburg, WI 53012-2067
Phone: (262) 377-2158
Fax: (262) 377-2191
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2011-07-27
- Last updated
- 2024-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.